Pediatric Advanced Care of West Haven LLC
NPI #1942669916 in West Haven, Connecticut
Provider Information
- NPI Number
- 1942669916
- Entity Type
- Organization
- Organization Name
- Pediatric Advanced Care of West Haven LLC
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Feb 18, 2016
- Last Updated
- Apr 5, 2016
Practice Location
- Address
- 755 CAMPBELL AVE
- Address 2
- SUITE 2
- City
- West Haven
- State
- Connecticut
- ZIP Code
- 06516-3715
- Phone
- (203) 889-2297
Authorized Official
- Name
- MRS. ELIZABETH J MARCUCIO, APRN
- Title
- OWNER
- Phone
- (203) 889-2297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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